University of Utah

Manager, Clinical Contracting

University of Utah$90K — $110K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Business, Accounting, Health Care Administration, Nursing, or related field or equivalent.
  • Four years of progressively responsible managed care and contract experience.
  • Comprehensive knowledge of healthcare managed care principles.
  • Working knowledge of healthcare financing and billing operations.
  • Familiarity with legal principles and contract language.
  • Effective oral and written communication skills.

Responsibilities

  • Negotiate patient agreements and complex clinical contracts.
  • Ensure financial management and budget goals are met.
  • Oversee patient satisfaction within assigned areas.
  • Achieve quality goals and promote process improvements.
  • Provide performance feedback and resolve staff conflicts.
  • Build positive relationships with staff and senior leadership.
  • Engage staff in decision-making and provide recognition.

Benefits

  • Professional development opportunities.
  • Collaborative and inclusive work environment.
  • Support for continuous process improvements.
  • Engagement with leadership in decision-making.
Full Job Description
This position is responsible for the development of payer and provider contractual and business relationships designed to successfully position University of Utah Health Hospitals and Clinics in local, regional and national markets. This position negotiates individual patient agreements as well as complex local and national clinical contracts on behalf of University of Utah Health Hospitals and Clinics. This position has no responsibility for providing care to patients.

Responsibilities

Essential Functions
Job Specific Responsibilities and Accountabilities
  • Performs to required standards for job specific responsibilities and technical competencies.
Talent Management
  • Hiring, training, developing, and communicating with staff.
Financial Management
  • Responsible for developing, monitoring and achieving budget goals.
  • Manages labor and non-labor expenses to budget or flex budget.
  • Manages revenue to budget to maximize potential revenue.
EPE/Service
  • Responsible for patient satisfaction scores within assigned area(s).
  • Responsible for upholding PROMISE standards of direct reports and team members.
Quality
  • Responsible to achieve quality goals for assigned area(s).
  • Manages and promotes continuous process improvements in assigned area(s).
Performance Management
  • Responsible to provide staff feedback on performance, including on-time appraisals and coaching.
  • Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.
Building Relationships
  • Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.
  • Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.
Knowledge / Skills / Abilities
  • Comprehensive knowledge of healthcare managed care principles.
  • Self-motivated with effective time-management skills.
  • Working knowledge of healthcare financing and billing principles and operations.
  • Knowledge of legal principles and contract language.
  • High degree of effective oral and written communication skills.
  • Working knowledge of various reimbursement methodologies including DRGs, per diem, RVUs.


Qualifications

Required
  • Bachelor's degree in Business, Accounting, Health Care Administration, Nursing, or a related field, or equivalency.
  • Four years of progressively more responsible managed care and contract related experience.


Qualifications (Preferred)

Preferred
  • Master's degree in a related field, or equivalency.
Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.


Physical Requirements

Carrying, Climbing, Color Determination, Crawling, Far Vision, Lifting, Listening, Manual Dexterity, Near Vision, Non Indicated, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Tasting or Smelling, Walking

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